Active NPI
Gregory Durham, NP-C
- Psychiatric/Mental Health Nurse Practitioner
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.17593
- Practice address
- 905 Nebraska Ave
Toledo, OH 43607-4222 - Phone
- (419) 841-7701
- NPI assigned
- Jul 8, 2015
- Last updated
- Jan 22, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.17593 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.17593 | OH | Primary |
Addresses
Primary practice location
905 Nebraska Ave
Toledo, OH 43607-4222
Mailing address
2005 Ashland Ave
Toledo, OH 43620-1703
Phone (419) 841-7701
Other practice location 1
433 W High St
Bryan, OH 43506-1690
Phone (419) 636-1131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.17593 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zepf Center | Current | Accepting new patients | |
| Incare Health Solutions LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Incare Health Solutions, LLC | Family | Current | Accepting new patients |
| Zepf Center | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Zepf Center | Past | Accepting new patients |
Locations
1107 S Main St
Ste 300
Bowling Green, OH 43402
Phone (419) 806-4222
7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002
2005 Ashland Ave
Toledo, OH 43620
Phone (419) 255-3040
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
6605 W Central Ave
Ste 100
Toledo, OH 43617
Phone 41984177012235
905 Nebraska Ave
Toledo, OH 43607
Phone (419) 244-8848
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Walk in Urgent Care
- Internal Medicine Physician
- Marion, OH
- NPI 1235422403
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1215947809
-
dba Walk in Clinic
- Primary Care Nurse Practitioner
- Ontario, OH
- NPI 1639621824
Family
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1689559163
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Family Medicine Physician
- Toledo, OH
- NPI 1962992628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1750764718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 ASHLAND AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436201703",
"telephone_number": "419-841-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 NEBRASKA AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436074222",
"telephone_number": "419-841-7701"
}
],
"practiceLocations": [
{
"address_1": "433 W High St",
"address_purpose": "LOCATION",
"city": "Bryan",
"state": "OH",
"postal_code": "435061690",
"country_code": "US",
"telephone_number": "419-636-1131",
"fax_number": "419-636-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURHAM",
"first_name": "GREGORY",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-08",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.17593",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.17593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.